title: Diagnosis and management of choledochoduodenal fistula.
abstract: Recent advances in hepatobiliary imaging techniques have led to the increased detection of choledochoduodenal fistula. However, the diagnosis and treatment of choledochoduodenal fistula is still a challenge. In this study, we summarize how patients were diagnosed and treated for choledochoduodenal fistula at our institution. Sixty-six patients with choledochoduodenal fistula were diagnosed and treated in our department from January 2000 to June 2009. Sixty-one patients were treated operatively, whereas five patients were treated with medicine. Patients with choledochoduodenal fistula were confirmed by endoscopic retrograde cholangiography. Of the 61 patients needing surgical intervention, clinical outcomes were excellent in 57 patients, and five patients underwent successful laparoscopic surgery for repairing the choledochoduodenal fistula. Follow-up of these patients for 6 months to 10 years showed they did not suffer from further cholangitis. A patients' past history of biliary disease, upper abdominal pain, fever, and jaundice may lead to choledochoduodenal fistula. Operative therapy, including laparoscopic surgery, was the primary treatment for most patients, regardless of the preoperative diagnosis.
authors.affiliation: Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
authors.forename: Kai-Can
authors.initials: KC
authors.lastname: Zong
authors.forename: Hai-Bo
authors.initials: HB
authors.lastname: You
authors.forename: Jian-Ping
authors.initials: JP
authors.lastname: Gong
authors.forename: Bing
authors.initials: B
authors.lastname: Tu
mesh_terms: D000328:Adult; D000368:Aged; D001658:Biliary Fistula / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D015331:Cohort Studies; D003137:Common Bile Duct Diseases / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D004378:Duodenal Diseases / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult